Individual
ANITA JIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9575 W TROPICANA AVE, LAS VEGAS, NV 89147-8490
(702) 633-8331
Mailing address
3153 MADDEN WAY, DUBLIN, CA 94568-7220
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-231
NV
Other
Enumeration date
02/24/2022
Last updated
02/17/2025
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